Routine inspection·March 6, 2025

Licensing Program Analyst (LPA) David Roman conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA D. Roman was welcomed by, Director, Maniza Ambalada. LPA D. Roman provided a visual of CA State ID, identified himself as the LPA and discussed the purpose of the visit with Director, Maniza Ambalada. According to the facility’s license, the facility has a maximum capacity of six clients, of whom all may be non-ambulatory and one of which may be bedridden in bedroom 5. The facility is equipped with locked perimeters. LPA D. Roman along with Director, Maniza Ambalada toured the interior and exterior of the facility and inspected each room. The facility was sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Resident bedrooms contained the adequate furnishings. Doors, windows, toilets, and showers were in working order. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities. Cooking/dining equipment and utensils were present. There were no toxic chemicals/poisons accessible to clients. Medications were labeled, as required, and stored in locked areas. Water temperature was measured at 120 degrees F. No pools or bodies of water on the premises. LPA inquired if firearms or ammunition are kept at the facility, to which the Director denied. Fire Alarms and Carbon Monoxide detectors were tested at 10:00am, emergency lighting, and facility telephone were all working. Fire extinguishers were present. First aid kits were complete and readily accessible. Resident records reviewed had required documentation, Staff records reviewed CPR and First Aid certificates valid until 2027. An exit interview was conducted with Director, Maniza Ambalada, to whom a copy of this report and the Licensee/Appeal Rights were provided during the visit. The signing of this report acknowledges their receipt of their rights and report.